LTC_LPN

Perhaps I'm missing something here....I work at nights in a nursing home, but we NEVER have an RN on duty during the night shift. Only a couple of LPN's and a handfull of cna's. And we are a "medicare skilled" facility....certified for medicare and...

We have an ER box which is kept locked - when anything is taken out, the ER box is replaced. No narcs are in the ER Box. The only narcs we have are whatever meds the md's have prescribed for individual residents, and these are kept in the appropriat...

A girl I work with named her daughter Pajama Pinky....and pronounces her name as "paj-a-may pinn-kay". (yeah, this is arkansas...)

As a night nurse in LTC, I am paid $15.50 per hour, and I work in Arkansas. The dayshift nurses at this facility are paid $12.50 per hour. My problem is that I've been an LPN for 15 years, and yet the other night nurse, a new grad LPN, makes $15.00 p...

How in the world would someone get that info off the DOH website? I just checked at the arkansas state department of health website, and there aren't any links that show nurses names, etc. Or at least, not that I could find!

I am paid hourly, as an LPN, and I frequently work very much overtime. However, if the overtime pay is taken away I will not work overtime anymore because I don't believe that is a fair issue. We don't have "mandatory" overtime. If someone calls in...

I would definitely speak with social services about this situation. Even if a doctor writes the order for "comfort care only" - like they do when someone is gravely ill or failing, I would think that chest pain would be uncomfortable and should be t...

At our nursing home, according to the law, we have to comply with the resident's rights. If they want to take a bath at 4:00 am, then we'll give them one. But I'm not about to wake a sleeping resident to ask them if they want to take a bath at that...

If my state board of nursing knew you were sleeping at the nurses station, you'ld be out of a job....and out of a license. I don't know what alternate universe you work in, but I work 11-7 shift, and I have never had a night where there's no work to ...

Funny story....and totally true: when I was 7 months pregnant, I had my hair highlighted at the beauty shop. I did sit outside in fresh air a bit while the goo was on my head. Strangely tho, when my daughter was born 2 months later, she had the pre...

Our facility has about 110 beds, and we are practically full right now. Our staffing is this: 7-3 shift: 4 lpns, 1 tx lpn, 12 cna's, 2 rehab cna's, rn(mds) lpn (mcare coord) don, adon, rn supervisor 3-11 shift: 4 lpns, (sometimes only 2 or 3) 6-8 cn...

Where I work, we don't have an RN on the 11-7 shift, although I wish we did. We have approx. 110 residents, 6 cna's, and 2 lpn's....although quite frequently one of the lpns is left alone for a few hours each night. Usually one lpn stays and passes ...

:angryfire :angryfire :angryfire what??? not a "nurses job" to answer a call light?!?! what alternate universe does this idiot don work in????? i'd hate to have to work with any nurse who has the audacity to stand beneath 7 call lights and not lif...

My sentiments, exactly!! At our facility, residents who are like this - with extreme behaviors - can and will end up with a 30 day discharge because of their behaviors. So...in 30 days, they are discharged from the facility. And in most cases, will...

It's no longer a "last resort" because I've worked with the same nurses at the same nursing home now almost 2 years...and we've been inserviced and inserviced on this subject repeatedly. Yet amazingly, we still have the same problems. Notes left in...

It's bad news anytime a resident is combative with the staff and someone ends up getting hurt. As charge nurse, I've told my staff that if this should happen, to notify the nurse immediately. Last time, I had a CNA struck twice in the face with a cl...

As a LTC nurse, I always check for placement before I do anything else. When giving meds through a g-tube, I crush the med powder fine, then mix with a little water (unless it's contraindicated). For liquids, I'll give them as-is, then follow up with...

I've always heard it was to keep the husband busy and keep him out of the way...also to give him a "job" so he'll feel he's doing something (anything) to help while his wife is laboring. Guess it beats having him pace around the room watching every ...

In our nursing home, I am often the nurse at the bedside when a resident passes (DNR) under "comfort care only" orders. Tho they may be unconscious and appear unreachable, I always speak to them as if they can hear me... and I comfort them as best I ...

We have a centrally located crash cart, and ambu bags at each nurses station. Our facility does not mandate that all employees be certified in CPR, nor do they offer to pay for or provide classes...so many of our cna's and nurses are not certified, a...

What do you think of this? Our facility is smoke free - no smoking allowed indoors, period. However.....one resident recently came back from having back surgery in hospital and is bed bound. Long-time smoker. He can't get out of bed except twice a we...

We do have a designated smoking area for people to use, but since he can't get out of bed he can't get there. Supposedly this is short-term until he is able to sit up in a w/c.

Two years ago, state entered our building at 3:30 on a Monday morning and made themselves at home. They can begin their inspections at any time. The best thing is to always be ready for them - no matter what shift. What gets me is how everything r...

Insurance??? Benefits??? What are those! I've worked at the same facility for 4 years now, and they don't even OFFER health insurance. Our only "benefit" is a weeks paid vacation. (and this is a "for profit" company). Also, our facility has "QA" mee...

I have had migraines since my daughter was born in 1988 (c-section w/epidural). I've only been to the ED twice in the last 3 years, tho, but each time I couldn't help but feel as if the nurses were "rolling their eyes". And it doesn't help when they ...